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1043488414
KRYSTAL MARIE BOOTHE
WEST COVINA, CA
NPI
1043488414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCSW71811)
Enumeration Date
2008-02-19
Last Update Date
2020-02-25
Business Address
MRS. KRYSTAL MARIE BOOTHE LCSW
1050 LAKES DR
WEST COVINA, CA 91790-2924
Phone number: 310-621-0150
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Mailing Address
MRS. KRYSTAL MARIE BOOTHE LCSW
418 N DALTON AVE
AZUSA, CA 91702-3634
Phone number: 310-621-0150
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